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L.,,* Commonwealth of OfflcialUse Only
>� �a Massachusetts
Permit No. BLDE-18-001632
-M BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
,[Rev.1/07]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:9/20/2017
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perlorm the electrical work described below.
Location(Street&Number) 237 NORTH MAIN ST
Owner or Tenant DAVENPORT DEWITT TR Telephone No.
Owner's Address DAVENPORT REALTY TRUST,20 NORTH MAIN ST,SOUTH YARMOUTH, MA 02664-3150
Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No. - -
Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Pendant light&AFCI C/B.(UNIT 300)
Completion of the following table maybe waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers a KVA
No.of Luminaire Outlets No.of Rot Tubs Generators KVA
No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emerg i
grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 4I
of Switches No.of Gas Burners No.of Detection and t<7
Initiating DeniJ
No.of Ranges No.of Air Cond. Total No.offAlertingg D /�•Devices �" a V/•
Ton:
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area heating KW Local ❑ Municipal ❑ �:
Connection
�"�
No.of Dryers Heating Appliances KW Security Systems:" ��./'
Naof Deuces or Eauivalent
/
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Eauivalent l�
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Eauivalent
OTIIER:
Attach additional detail ifdesire4 or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such
coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE:INSURANCE 0 BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Lance A Macenerney
Licensee: Lance A Macenerney Signature LIC.NO.: 11149
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:126A MID TECH DR,W YARMOUTH MA 026732560 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"License:
OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But
signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $80.00
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vim, Commonwealth of Massachusetts Official Use
Use Only, /J7"/%/
:Lie * i ✓l V—( �.3z
C E.' a Department of Fire Services Permit No.
f' If-a'1 BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupancy/05] (leave bank)and Fee k�
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v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 MR 12.00
C-A' (PLEASE PRINT IN INK OR TYP$ALL INFORMATION) Date: 5' e 17
6 City or Town of: Ll((Y1a U�t To the Inspect r of fres:
JBy this application the undersigned gives notice of his or her intention to perform the electrical work described below.
C� Location(Street&Number) a 3/]y� main SF Uf \4' 300
C�+ Owner or Tenant 1�j r 6(onA Y CX.C`,ei Telephone No.
0
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd E No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampaclty
Location and Nature of Proposed Electrical Work: Addta pencar)4 (qh-1-tr— (e1 Re()laced
Otrc,ta;I-breaker AFC I, bn+hroom f
Completion of the following table m be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans TTrr KV
nsd al
ansformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA t
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grad. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of AlertingDevices
Tons
No.of Waste Disposers -Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipaonnectionl 0 Other
No.of Dryers Heating Appliances KW Security g stems:*
• No.of Devices or Equivalent
No.of Water No.of No.of KW
Heaters Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desiret4 or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including`completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 0 BOND 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME: TUU e r E lex-k—te_ Calrr.ftn.. LIC.NO.: A III y9
Licensee:lance_ motE ).e(TY� Signature LIC.NO.:
(If applicable,enter"exempt"in the license numm�ner Ant..) Bus.Tel.No.. cog-7 7 S-0030
Address: I.k A rn Ito Qr c.k 4)r• W•v4(m O tale Alt.Tel.No.:
*Security System Contractor License required for this work;if applicable,enter the license number here:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.
Owner/AgentPERMIT FEE:$ t -OO
SignatureturaTelephone No.
oF'YA,i -. TOWN OF YARMOUTH
"r
5 � BUILDING DEPARTMENT
o y 1146 Route 28, South Yarmouth,MA 02664
,,, .,.
?4,,,_, d4. 508-398-2231 ext. 1263 Fax 508-398-0836
K. Elliott, Inspector of Wires
kelliott(a varmouth.ma.us
May 31,2018
Lance MacEnerney
Fuller Electric Co.
126 A Mid Tech Drive
West Yarmouth,MA 02673
RE: Thirwood Place (UNIT 300) )
Permit Number: BLDE-18-001632
Dear Lance;
The above noted location inspection failed to pass for the reason(s) listed.
Article 314-20 More than 1A" set back of box on
back splash of kitchen wall.
Please forward the required re-inspection fee of eighty dollars ($80.00) to this office and
advise when the corrections have been made and when access may be gained, to the property,
for the re-inspection.
If you have any questions please do not hesitate to contact me.
Sincerely,
Town of Yarmouth, Building Department
K7 UIC;D/
K.Elliott,
Inspector of Wires